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The program14:45 Welcome and message from Prof. Michael E. Porter, Ph.D.
Chairman Dr. Ton Hanselaar, member VBHCE advisory council Honorary chairman Harvard University Prof. Michael E. Porter, Ph.D. (message) 15:10 Enabling VBHC: The implementation challenge VBHC challenges - Prof. Dr. Fred van Eenennaam VBHC implementation at Erasmus MC - Dr. Jan Hazelzet Enabling VBHC: Edifects - Michiel Walsteijn, Msc. Patients first! Experience patient ITP & collaboration:
Patient association ITP - chairman Theo de Wispelaere and Karin de Boer Amgen - Joep Rijnierse, M.D.
16:20 Break 16:40 The future of VBHC: The challenge ahead VBHC at Erasmus MC - CEO, Prof. Dr. Ernst Kuipers (message) The challenge ahead – Prof. Dr. Fred van Eenennaam 17:10 Award Ceremony Winner of the VBHC Prize 2014: Meetbaar Beter, a year later (message) The nominees: Leading VBHC initiatives Three special VBHC awards
o VBHC Patient-outcomes award 2015, endorsed by The Decision Instituteo VBHC Cost-effectiveness award 2015o VBHC Collaboration award 2015, endorsed by Amgen
VBHC Prize 2015: and the winner is…
18:15-18:45 Networking & Drinks
3
Welcome and message Prof. Michael E. Porter, Ph.D.
Welcome by Chairman Dr. Ton Hanselaar Member of the VBHCE Advisory Council
5
“Doing the right things”
“With right costs @ right place by right
people”
EFFECTIVITY
EFFICIENCY
Value-Based Health Care
Patient Value is central in VBHC
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Medical Condition focusPatient-centered approach1Measure the right thingContinuously improve quality of care for patients
Transparent organizationCompare and learn from the best3
2
3-golden-rules
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The Value-Based Health Care Prize
• 6 million patients
• 726 connections amongst institutions
• Over 30% of all Dutch pharmacies
• Around 50% of all Dutch hospitals
“The Value-Based Health Care Prize aims to disseminate the principles of Value-Based Health Care and seeks to honor those initiatives that have adopted a fundamentally new line of thinking in creating value for patients in terms of real outcomes, real connections, and one common language.”
The applicants:
• 50 pre-round applicants
• 22 completed applications
• 10 nominees
• 3 special VBHC awards
• 1 winner
Representing:
With impact on:
Value-Based Health Care Prize Honorary Chairman: Prof. Michael E. Porter, Ph.D.20
15
8
Welcome and message Prof. Michael E. Porter, Ph.D.
Message Prof. Michael E. Porter, Ph.D. Honorary Chairman - Harvard University
9
The program14:45 Welcome and message from Prof. Michael E. Porter, Ph.D.
Chairman Dr. Ton Hanselaar, member VBHCE advisory council Honorary chairman Harvard University Prof. Michael E. Porter, Ph.D. (message) 15:10 Enabling VBHC: The implementation challenge VBHC challenges - Prof. Dr. Fred van Eenennaam VBHC implementation at Erasmus MC - Dr. Jan Hazelzet Enabling VBHC: Edifects - Michiel Walsteijn, Msc. Patients first! Experience patient ITP & collaboration:
Patient association ITP - chairman Theo de Wispelaere and Karin de Boer Amgen - Joep Rijnierse, M.D.
16:20 Break 16:40 The future of VBHC: The challenge ahead VBHC at Erasmus MC - CEO, Prof. Dr. Ernst Kuipers (message) The challenge ahead – Prof. Dr. Fred van Eenennaam 17:10 Award Ceremony Winner of VBHC Prize 2014: Meetbaar Beter, a year later (message) The nominees: Leading VBHC initiatives Three special VBHC awards
o VBHC Patient-outcomes award 2015, endorsed by The Decision Instituteo VBHC Cost-effectiveness award 2015o VBHC Collaboration award 2015, endorsed by Amgen
VBHC Prize 2015: and the winner is…
18:15-18:45 Networking & Drinks
11
VBHC implementation pilot study Small study performed on the implementation challenges and best
practices. Includes experiences of 48 professionals.
• 25 medical specialists• 5 executives• 10 project members• 5 members of medical academic
councils • 3 methodology experts• Literature• Group around Prof. Porter
12
Two questions
1
2 What are your two best practices to implement VBHC?
What are the challenges of VBHC Implementation?
13
Challenges of VBHC ImplementationSmall study performed on the implementation challenges and best
practices. Includes experiences of 25 medical specialists / executives.
What are the challenges of VBHC Implementation?
1. Improvement by knowing outcomes2. Getting the right data3. Meaningful patient involvement4. Defining the right outcome measures / definitions 5. How to deal with real costs and reimbursement6. Volume 7. Get paid for clear and better quality 8. How to build a Integrated Practice Unit9. How to set a clear ambition with the medical
specialist 10. Benchmarking – with international hospitals 10
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8
7
6
5
4
3
2
1
0 5 10 15 20 25
1
2
3
6
8
9
15
17
18
21
Percentages
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Top 3
1
2
3
Getting the right data
Meaningful patient involvement
Improvement by knowing outcomes
17
Enabling VBHC: The implementation challenge
Patients first! Experience patient ITP& collaboration
Theo de Wispelaere - Patient association ITP
Joep Rijnierse, MD - Amgen
19
The program14:45 Welcome and message from Prof. Michael E. Porter, Ph.D.
Chairman Dr. Ton Hanselaar, member VBHCE advisory council Honorary chairman Harvard University Prof. Michael E. Porter, Ph.D. (message) 15:10 Enabling VBHC: The implementation challenge VBHC challenges - Prof. Dr. Fred van Eenennaam VBHC implementation at Erasmus MC - Dr. Jan Hazelzet Enabling VBHC: Edifects - Michiel Walsteijn, Msc. Patients first! Experience patient ITP & collaboration:
Patient association ITP - chairman Theo de Wispelaere and Karin de Boer Amgen - Joep Rijnierse, M.D.
16:20 Break 16:40 The future of VBHC: The challenge ahead VBHC at Erasmus MC - CEO, Prof. Dr. Ernst Kuipers (message) The challenge ahead – Prof. Dr. Fred van Eenennaam 17:10 Award Ceremony Winner of VBHC Prize 2014: Meetbaar Beter, a year later (message) The nominees: Leading VBHC initiatives Three special VBHC awards
o VBHC Patient-outcomes award 2015, endorsed by The Decision Instituteo VBHC Cost-effectiveness award 2015o VBHC Collaboration award 2015, endorsed by Amgen
VBHC Prize 2015: and the winner is…
18:15-18:45 Networking & Drinks
22
Nominees I
- Title: A virtual asthma clinic for children: “De luchtbrug"
- Project leader: Prof. Peter J.F.M. Merkus, M.D. Ph.D.
24
Nominees III
- Title: Alexander Monro Breast Cancer Clinic
- Project leader: Drs. Jan W. van Bodegom
26
VBHC implementation pilot study Small study performed on the implementation challenges and best
practices. Includes experiences of 25 medical specialists / executives.
1
2 What are your two best practices to implement VBHC?• Improvement by knowing outcomes• Getting right data• Meaningful Patient involvement
What are the challenges of VBHC Implementation?
27
Improvement by knowing outcomes
Results - A short overview:
Continuous learning loops result in improved outcome measures. On an Outcome Measure-level, ambitions can be defined. Outcomes can be measured and compared with the ambition.
You can’t manage what you don’t measure
Becoming the best Prostate Cancer center in Germany (Martini Klinik).
28
Getting right dataInformation Technology systems that allow for better cost allocations are evolving.
• Currently, specialized IT solutions that improve the efficiency of cost allocation processes are evolving.
• TDABC Pilots: map the processes that are supported by value added activities in the care delivery value chain. Time and costs can subsequently be ascribed.
29
Book recommendation: Atul Gawanda, a surgeon, writer, and public health researcher. He practices general and endocrine surgery at Brigham and Women’s Hospital. Professor at the Harvard School of Public Health and at Harvard Medical
School.
Meaningful Patient InvolvementOverview of aspects of patient perspective that can be taken into account: • Patient perceptions • Council membership • Apps / IT involvement • Communication towards patients • Ways of providing information
Try to involve the patient on every level. Surveys, keeping diaries, involvement in councils/teams. Input from patients is very valuable as patients are the customers of care.
31
Nominees IV
- Title: Cost effective quality of care gain by reduction of surgery of patients with oesophageal cancer
- Project leader: Drs. Tim Kievits
32
Nominees V
- Title: Outpatient Rapid Recovery Total Hip Arthroplasty
- Project leader: Stephan B. W. Vehmeijer, M.D. Ph.D.
33
Nominees VI
- Title: Value-based care for Parkinson’s disease
- Project leader: Prof. Bastiaan R. Bloem, M.D. Ph.D.
34
Nominees VII
- Title: Redesign of care for older patients with hip fracture; a superior performance in patient value and a doctor-led initiative
- Project leader: Dr. Hilde I.F. Royen, M.D.
38
Nominees IX
- Title: The Dutch ENT research Agenda
- Project leader: Dr. Peter Paul G. van Benthem
39
Nominees X
- Title: The Dutch Living Donor Kidney Exchange Program
- Project leader: Prof. Dr. Teun van Gelder
41
Prof. Leonard H. Friedman, Ph.D. MPH, Professor in the Department of Health Services Management and Leadership of The George Washington University
Prof. Dr. Amit Kapoor, Honorary chairman of Indian Center of Competitiveness, the India Porter Prize 2012/2013
Dr. Federico Lega, Associate Professor Policy Analysis and Public Management Bocconi University
Dr. Thomas Lee, Chief Medical Officer at Press Ganey and Editor of New England Journal of Medicine
Dr. Jens Deerberg-Wittram, President of ICHOM and Senior Research Fellow at the Harvard Business School
The honorable jury members:
Harvard University Professor Prof. Michael Porter Ph.D., Honorary chairman of the Value-Based Health Care Prize
Prof. Dr. Fred van Eenennaam, Chairman of the Jury (non voting), affiliated to The George Washington University, Erasmus University, The Decision Institute
Chair:
42
Advisory Council:
Drs. Hugo BroekmanChairman Board of Directors Evita Zorg B.V.
Carina Hilders, M.D. Ph.D.President Medical Board Reinier de Graaf Hospital
Drs. Peter Hoppener, CEO Medicinfo, Former Chairman Divisie Zorg VGZ and Chairman Board of Directors Sint Maartenskliniek
Maarten Rook M.B.A. Chairman Supervisory Board Gelre ziekenhuizen and Former Chairman STZ
Ton Hanselaar, M.D. Ph.D.Former Chairman Board of Directors/ CEO Stichting Pantein
Hans Büller, M.D. Ph.D , Professor of pediatrics at Erasmus MC and former Chairman of the Board of Directors of Erasmus MC
Rob Dillmann, M.D. Ph.D.Chairman Board of Directors Isala
43
VBHC Patient-Outcomes Award:
- Title: Alexander Monro Breast Cancer Clinic
- Project leader: Drs. Jan van Bodegom
44
VBHC Cost-Effectiveness Award:
- Title: Quality of Health Care - Project leader: Prof. Dr. Robbert
Huijsman MBA
45
VBHC Collaboration Award:
-Endorsed by Amgen
- Title: Care for Outcome- Project leader: Drs. Leonique
Niessen
46
Value-Based Health Care Prize 2015First PrizeSuperior Patient Value Delivery
- Title: Value-based care for Parkinson’s disease
- Project leader: Prof. Bastiaan R. Bloem, M.D. Ph.D.
47
Value-Based Health Care Prize
Challenge
What is your dream scenario for Value-Based Health Care for the future?
48
Value-Based Health Care Prize
2016April 7th
Under auspices of:
3rd edition of the Value-Based Health
Care Prize